Individual provider · Type 1 NPI

Tina Marie Jacobs, PA

Physician Assistant · Lakewood, CO

NPI number 1649703307 Active

Practice location

3609 S Wadsworth Blvd Ste 135
Lakewood, CO 80235-2126

Fax (877) 413-4043

Mailing address

10269 W Wesley Pl
Lakewood, CO 80227-3074

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA.0005501 (CO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1649703307

Tina Marie Jacobs, PA's National Provider Identifier is 1649703307, issued on Apr 9, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lakewood, CO. The record was last updated on Feb 3, 2026.